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;; <br />AN~NU^Ai FF,F, end REPORT RF,nTTF.ST <br />f~ c <br />PERMITTEE NAME: International Uranium (USA) Corp. r-.-. ,...,„ , a <br />PERMIT NO.: M-1997-032 <br />OPERATION NAME: Van 4 Shaft ~CT Z ; °'~~ <br />ANNNERSARY DATE: November 3, 2005 ~lliuisia~, of Miu,.,,,,, „„ r_~sBr <br />ANNi.1AL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />,i <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />--land; reclamation-accomplished_to date and_during_the_preceding_year, new disturbances_that_are,anticipated to __ <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anmial rennrt and annual report man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may sufftce for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Terry V. Wetz <br />Permittee Name: International Uranium (USA) Corp. <br />Address: 1050 Seventeenth St., Ste. 950 <br />Denver, CO 80265 <br />Phone Number: (303) 389-4161 <br />Fax Number: (303) 389-4125 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />ikturF of Oorr~porate Officer, Owner, o Designee <br />RUID c. YRyDc`NLVND, vacs ~2EsiD~NTdI,r'7~'E~t~ co~~se~ <br />25 O~(iEIZ- Zoos <br />Date <br />M:~PERMITVv1ASTERDOCUMENf'SMf-AF-02. DOC <br />